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Readers should be aware of another reporting system for adverse events and medical errors. The Toxic Exposure Surveillance System (TESS), sponsored by the American Association of Poison Control Centers, receives reports from 64 poison centers (serving 98.9 percent of the U.S. population).2 Of 2,267,979 reports filed in 2001 in TESS, 167,014 (7.4 percent) were therapeutic errors, and 35,646 (1.6
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